Healthcare Provider Details

I. General information

NPI: 1265369540
Provider Name (Legal Business Name): KRISTINE NICOLE MORELL LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 NE 5TH ST UNIT 2118
MIAMI FL
33132-1934
US

IV. Provider business mailing address

25 NE 5TH ST UNIT 2118
MIAMI FL
33132-1934
US

V. Phone/Fax

Practice location:
  • Phone: 786-608-0727
  • Fax:
Mailing address:
  • Phone: 786-608-0727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27672
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: